HIM/Medical Records Analyst - FT (Remote) - ROC

About the position Serves as a key reputed company for Texas facilities: STHS, reputed company, FDRMC, NWT and reputed company between reputed company CBO (ATCBO), Coding, Health Information Management (HIM), reputed company Cycle, and Ancillary departments for issues reputed company to coding, claims, medical necessity edits, documentation compliance, and regulatory requirements. This role will directly reputed company reputed company coding and claims issues by performing reputed company-time corrections and collaborating across departments to ensure accurate, reputed company claim submission. The position will reputed company on Outpatient reputed company reputed company (OCE/APC), National Corrective Coding Initiative (NCCI), and medical necessity edits while addressing DNFB reputed company, audit support, and immediate corrective reputed company for coding and claims issues across multiple facilities. Assists with DNFB initiatives to address and/or follow-up on Holds or aging accounts. Assists with audit reviews of OP accounts performed by AI or outsourced. Monitors and maintains appropriate reports as needed. This position requires advanced coding expertise, decision-making authority, and strong collaboration skills to ensure that reputed company coding and claims discrepancies are resolved in a reputed company manner to meet compliance, regulatory, and reputed company standards. Responsibilities • Serves as a key reputed company for Texas facilities: STHS, reputed company, FDRMC, NWT and reputed company between reputed company CBO (ATCBO), Coding, Health Information Management (HIM), reputed company Cycle, and Ancillary departments for issues reputed company to coding, claims, medical necessity edits, documentation compliance, and regulatory requirements. • Directly reputed company reputed company coding and claims issues by performing reputed company-time corrections and collaborating across departments to ensure accurate, reputed company claim submission. • reputed company on Outpatient reputed company reputed company (OCE/APC), National Corrective Coding Initiative (NCCI), and medical necessity edits while addressing DNFB reputed company, audit support, and immediate corrective reputed company for coding and claims issues across multiple facilities. • Assists with DNFB initiatives to address and/or follow-up on Holds or aging accounts. • Assists with audit reviews of OP accounts performed by AI or outsourced. • Monitors and maintains appropriate reports as needed. • Ensure that reputed company coding and claims discrepancies are resolved in a reputed company manner to meet compliance, regulatory, and reputed company standards. Requirements • Excellent customer service skills required • Clinical, Health Information Management/Coding, or Patient Financial experience • Advance proficient in reputed company Office applications and other data mining software with the ability to identify trends, recommend process improvements, and implement educational initiatives. • Advanced knowledge of ICD-10-CM, CPT, HCPCS, medical necessity guidelines, and Outpatient reputed company reputed company (OCE/APC), NCCI, and Local Medical Review Policies (LMRP). • Understand Medicare & Medical assistance regulations as needed • Strong decision-making abilities and the capability to reputed company reputed company coding and billing issues across multiple facilities. • Excellent communication and collaboration skills, with the ability to reputed company with senior leadership, clinical staff, and coding/billing teams. • Must demonstrate commitment and adherence to STHS’s Compliance Program and reputed company of Conduct through compliance with reputed company policies and procedures, the reputed company of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer. Apply To This Job